short term memory and gut issues - #12527

Blood Tests: Vitamin B1 (Thiamine) Vitamin B12 and Folate Vitamin D3 Thyroid Profile (TSH, Free T3, Free T4) Fasting Blood Sugar and HbA1c Serum Electrolytes (Na, K, Mg) Liver Function Test (if not done recently) Serum Cortisol (morning sample)

Stool Tests: Stool Routine and Microscopy Stool Fat Test (to assess malabsorption)

Continue abstinence from alcohol. Eat a balanced, nutrient-rich diet: eggs, fish, fruits, vegetables, curd/yogurt (probiotic). Take Vitamin B-complex supplement (OTC) once daily until reviewed by doctor. Maintain regular sleep (7–8 hrs) and reduce stress through breathing or meditation. Stay hydrated and avoid excess caffeine or energy drinks. Moderate physical activity (e.g. 30 min walking daily).

Hello dear See after thorough evaluation of your query,it seems combination of both neurological symptoms along with gastric problems Even I doubt there can be chances of alcohal withdrawal symptoms also Iam suggesting some precautions and tests Please follow them for atleast a month and get tests evaluated with both neurosurgeon and gastroenterologist Take balanced diet Do physical exercise for atleast half an hour Do meditation for strong memory Indulge in social engagement Involve yourself in hobbies like writing and reading novels or stories In addition please get following tests done Stool culture Serum tsh Ct scan skull Mri EMR Eeg Per scan Meg Cbc Esr Colonoscopy if recommended by gastroenterologist Please share the result with concerned physician and take medication only after recommendation by concerned doctors only Regards

Hello Your symptoms are related to alcohol abuse and anxiety. Kindly visit the NEUROLOGIST for best opinion.

Take care

Your symptoms show both digestive and memory-related issues, which may be linked through the gut–brain connection or due to stress and nutritional deficiencies. Since liver and kidney reports are normal, further evaluation of your gut health and nervous system is needed. Specialist consultation is advised (Neurologist and Gastroenterologist).

Based on what you described, it seems like you’re dealing with a mix of cognitive and gastrointestinal symptoms, which can indeed be interconnected. The gut-brain axis is a well-studied concept that highlights the communication network between your gut and brain, so disturbances in one can sometimes affect the other. Considering your age and the recent history of stress and alcohol use, it’s crucial to untangle these symptoms methodically. First, the forgetfulness and restlessness might be linked to various causes, including lack of sleep, nutrient deficiencies, or psychological stress. However, significant changes in memory should be checked by a neurologist to rule out any underlying neurological conditions. For this, ask your primary care doctor for a referral to a neurologist who can conduct further assessments, like cognitive evaluations or brain imaging, if deemed necessary. On the gastrointestinal side, your symptoms such as loss of appetite and floating stools might suggest digestive issues like malabsorption or irritable bowel syndrome. A meeting with a gastroenterologist would be wise to investigate these symptoms more thoroughly with tests such as stool analysis, or even an endoscopy, if needed. They’ll be able to determine if there’s any inflammation, infection, or other gastrointestinal concerns that require treatment. Meanwhile, focus on a balanced diet rich in fiber, and consider keeping a symptom diary to track your eating, symptoms, and bathroom habits—it can provide insights for your doctors. Hydration is key, too, especially if you’ve been experiencing stress or changes in diet. If any of these symptoms are worsening rapidly, become disabling, or you experience any new alarming symptoms (like weight loss, severe abdominal pain, neurological deficits), you’d need a more urgent medical assessment to ensure there isn’t a more serious underlying cause. Addressing these symptoms effectively will require a coordinated approach between specialties, so do seek guidance from your general practitioner to start this process. They can help prioritize which specialist to see first based on your most troubling symptoms.

Hello Ano, I understand your concern. You mentioned that your blood tests are normal, kidney and liver tests are normal. But not clearly mentioned that exactly what what blood tests you got done. So I’m giving you a list of tests, whatever you have done previously, no need to do now, rest all - get them done and review.

1. These are the tests - CBC, Sr. Vit-B12 & Folate, FT3 FT4 TSH, FBS, HbA1C, Sr. Vit-D3, Sr. Electrolytes, CRP, ESR, Stool Routine + Microscopy + Occult blood & Ultrasound of Whole Abdomen. Review with reports.

2. I advise you to physically Consult a certified Psychiatrist and Gastroenterologist for physical examination, further evaluation and management.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med